Laserfiche WebLink
A11111kh <br />EVE R E T T W MW <br />WASHINGTON PUBLIC WORKS REVIEW WORKSHEET <br />PROJECT ADDRESS: 2815 1 5TH ST Permit #: C2007-006 <br />TENANT: BAKER HEIGHTS LEGACY <br />DESCRIPTION OF WORK: BAKER HEIGHTS LEGACY - BLDG C <br />PW Reviewer to select all that apply below: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, �4 and Irrigation, as selected below) <br />SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br />14 New Connection to main plus connections to building I New Connection, Size - 13 Per Cost Estimat <br />13 Alteration bd Meter Only, Size g6- - 13 Per Cost Estimate <br />0 Repair 19 Water System Development Fee Total: $ <br />[3 Cap -off, quantity_ 2 Sewer System Development Fee Total:$ <br />[3 Reconnection to stub 0 Water Service Line (behind meter), Size <br />0 Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br />13 NOT REQUIRED uLl3��A 0 NOT REQUIRED <br />kc)ej-C4 <br />Explanation/ Utility Permit #: Explanation/ Utility Permit #: (i) �2"dombsht se4�' 10"ne sys9 <br />Lk 0S.- -01.9- b"' A <br />A �WF' IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVIP Request for e rence) 'C c��((A*iam- <br />Ic <br />13 New Connection, S" 0 New Con i ction, Size 15 Per Cost Estimate <br />Connection, <br />S <br />• Meter Only, Size 10 3/4 Det t Meter Only, Service Size 911 )4 <br />Ba/ <br />• Water Syste evelopment Fee Total: $ 11 c w Prevention (Outside Building): 13 DCDA <br />P N REQUIRED <br />• Backflow P vention (Outside Building): 0 DCVA 0 ED <br />1 XNOT R U I /RE D Explanation/ Utility Permit #: 6Z) 2"-j9rt SErvfteS Wj-91q'Ad"J IhE� <br />I Utility Ility P rml In Ef�A C Explana n/ Utility Permit #: ay� <br />dS,� ts <br />WATER DEPART COST ESTIMATE NEEDED -(If yes, PWReviJArZq*CnPe5Ze reque,�t to Water Degartment) t e Q :� i <br />Cl Yes, uantit See attached for reference. <br />Of NOT RE IRED <br />Plumbing Permits (Note: Permit Technicians to ad items selected below to Plumbing Permit -for items inside building only) <br />I <br />10 Backflow Prevention (Inside Building): 13 DCVA r Domestic service) 13 RPBA (for Domestic service) XDCDA (for Fire service))(4' <br />0 NOT REQUIRED 11L C) -es k A- 01; <br />Building Permits (Note: Permit Technicians to add all item selected below to associated Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATI��FEES- <br />YES, 5( See Attached for calculations I credit -*W A *YES, Traffic Mi * ation Total:$ L­>'7Z�) 00 <br />Traffic <br />0( <br />4/ f <br />To be added on PWRna-om To be a de n 0,1700�-006 IR See Attta ed for calcylations I credit <br />Quantity charged At 1291 —SF Quantity c rged SF 0 NOT RE RED 4,w 01A MA3 A <br />QTY is 9 Ground only 13 all hard surfaces QTY i, PvRoof only u all hard surfaces <br />$64%.'94 <br />ONO NOT REQUIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUI D? (if yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />JKYES - TYPE: 0 SFR 0 DUPLEX 11 ADU 0 INFILL DWELLING X MULTI -FAMILY 13 COMMERCIAL <br />D1 See Attache Letter, 2 copies (Permit Techs to issue one copy to pplicant with permits, scan one copy to Jeffrey Marks) <br />91 Digital cop attached to permit record, Permit# FWQ010+-00q <br />IS( Saved ddress Folder in Development Tech File <br />[I NOT REQUIREZ <br />FIRE SPRINKLERS REQUIRED? <br />49YES -Type <br />0 NOT REQUIRED <br />Reason: F:9 RE COVC- <br />PUBLIC WORKS PERMIT REQUIRED? <br />YES, Permit# PWQ06T -Mli <br />lit Stormwater- NPIDES Tab Completed in TRAKiT 1(ADA Tab Completed in TRAKiT inspections Added in TRAKiT <br />13 NOT REQUIRED d I <br />Worksheet Completed By: Date: <br />Worksh et Checked By: Date: <br />� - <br />REVISED 1112712019 <br />